Individual provider · Type 1 NPI

Jessica Ann Boutwell

Student in an Organized Health Care Education/Training Program · Worcester, MA

NPI number 1154756153 Active

Practice location

548 Park Ave, Suite B
Worcester, MA 01603-2537

Call (774) 823-1500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154756153

Jessica Ann Boutwell's National Provider Identifier is 1154756153, issued on Sep 9, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Worcester, MA. The record was last updated on Sep 9, 2013.